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Kansas rates for HCPCS 80376

Drug/Substance Definitive Qual/Quant Nos 4-6

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.02 / $0.02 / $0.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.00 / $138.00 / $138.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.48 / $2.48 / $4.05
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.32 / $47.43 / $70.97
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.19 / $46.95 / $46.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54.56 / $54.56 / $54.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.39 / $11.39 / $19.52
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.06 / $47.56 / $112.04
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.16 / $14.45 / $39.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.16 / $13.91 / $39.53